MR. JUSTIN SCOTT RUDOLPH LCSW
NPI 1811443674
Social Worker - Clinical in Paramus, NJ

Q: What is Justin Rudolph's NPI number?

The NPI number for Justin Rudolph is 1811443674. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Q: What is Justin Rudolph's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Justin Rudolph was last updated on November 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2016

610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652(201) 805-5169 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2019, Aug 31, 2016 (2 updates tracked since 2016).

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About Mr. Justin Scott Rudolph Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JUSTIN SCOTT RUDOLPH LCSW (NPI 1811443674) is an individual clinical provider in Paramus, New Jersey, licensed in New Jersey (44SL06056300) and active in the NPI registry since August 2016. He maintains a secondary practice location in Ridgewood.

NPPES Registry Identity

NPI1811443674

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. JUSTIN SCOTT RUDOLPHCredential: LCSW

Location Address610 VALLEY HEALTH PLZParamus, NJ 07652-3607

Mailing Address610 Valley Health PlzParamus, NJ 07652-3607 · (201) 674-1818

Phone(201) 805-5169

Sole ProprietorNo

Enumeration DateAugust 31, 2016

Last NPPES UpdateNovember 15, 20192 updates tracked since enumeration

✔ NPI 1811443674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NJ · 44SL06056300

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

610 VALLEY HEALTH PLZ, Paramus, NJ 07652

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Secondary Practice Location 1

Location 188 W Ridgewood AveRidgewood, NJ 07450-3199 · Phone (201) 674-1818

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN AVERILL

Social Worker (Clinical)